NPI | 1417480955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301514625) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 77720) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2025-08-22 |